Provider Demographics
NPI:1285781294
Name:SMITH LAWSON, CAPRICE LYNN (OD)
Entity type:Individual
Prefix:MRS
First Name:CAPRICE
Middle Name:LYNN
Last Name:SMITH LAWSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:CAPRICE
Other - Middle Name:LYNN
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1082 PRINCETON SQUARE CIR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:513-942-5521
Mailing Address - Fax:
Practice Address - Street 1:600 KEMPER COMMONS CIRCLE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246
Practice Address - Country:US
Practice Address - Phone:513-671-3761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5448 T2360152W00000X
IN152W00000X
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist